Club Community Care Llc

LBN: Club Community Care Llc
Club Community Care Llc is an health care organization with primary practice located at 164 Nw Madison St , Lake City FL 32055-3904. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Club Community Care Llc can be contacted via phone (786) 587-9814, or through Diaz Hernandez, Damary via phone (786) 497-1134.

Contact Information

Primary practice address
164 Nw Madison St Lake City FL 32055-3904
Phone: (786) 587-9814
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diaz Hernandez, Damary
Phone: (786) 497-1134

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1982200382
LBN Legal business name Club Community Care Llc
DBA Doing business as
Authorized official Diaz Hernandez, Damary
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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